BLUEPRINT NPI 1265736110

NPI Information

  • NPI: 1265736110
  • Provider Name: BLUEPRINT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Former Legal Business Name: JMP COUNSELING & TUTORING SERVICES
  • Address: 2704 BOULDER DRIVE
    SUITE B
    URBANA, IL
    ZIP 61802
  • Phone: (217) 469-9300

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NPI Details

BLUEPRINT is a mental health counselor in Urbana, IL. BLUEPRINT NPI is 1265736110. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Jmp Counseling & Tutoring Services.

The provider's business location address is:

2704 BOULDER DRIVE
SUITE B
URBANA, IL
ZIP 61802
Phone: (217) 469-9300
Fax: (217) 469-9301

The provider's authorized official is Gina K Johnson .
The authorized official title is Owner/therapist and has the following contact phone number (217) 469-9300.

The enumeration date for this NPI number is 1/7/2011 and was last updated on 2/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health180.006836ILLINOISYes
21041C0700XSocial WorkerClinical149.009378ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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